| NPI | 1336400563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C008965) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC P007303) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2015-11-17 |